MRS. MARTHA M MIXA (NPI# 1760718969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760718969 |
| Entity Type | Individual |
| Full Name | MRS. MARTHA M MIXA |
| Credential | PA |
| Practice Address |
5959 Central Ave Ste 101 St Petersburg FL 33710-8502 |
| Practice Telephone | 7273219644 |
| Practice Fax Number | 7273218580 |
| Mailing Telephone | 7273219644 |
| Mailing Fax Number | 7273218580 |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2009-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9105230 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9105230 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5959 CENTRAL AVE STE 101 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33710-8502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750378816 | Lawrence Bernard Savitsky | Plastic Surgery | 5959 Central Ave, Suite 202, St Petersburg, FL 33710-8502 | 2005-10-04 |
| 1740565969 | Lawrence B Savitsky, M.d., P.a. | Plastic Surgery | 5959 Central Ave, Ste 202, St Petersburg, FL 33710-8502 | 2011-10-19 |
| 1346250271 | Thomas M Mixa Md Pa | Orthopaedic Surgery | 5959 Central Ave, Suite 101, St Petersburg, FL 33710-8502 | 2006-08-09 |
| 1356309611 | Thomas Mixa | Orthopaedic Surgery | 5959 Central Ave, Suite101, St Petersburg, FL 33710-8502 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
| 1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
| 1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
| 1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
| 1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
| 1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
| 1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
| 1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
| 1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
| Find all providers in zip 33710 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366726994 | Coley Lauren Westerberg | Physician Assistant | 1033 Martin Luther King Street North, Suite 108, St Petersburg, FL 33701 | 2011-09-30 |
| 1669569687 | Lynn L Lybrand | Physician Assistant | 5398 Park Street North, St Petersburg, FL 33709 | 2006-10-10 |
| 1225129646 | Gerald P Marshbanks | Physician Assistant | 1301 Beach Dr Se, St Petersburg, FL 33701-5621 | 2006-09-28 |
| 1356390785 | Christina M. Burke | Physician Assistant | 3251 3rd Ave N Rm 125, St Petersburg, FL 33713-8549 | 2006-05-10 |
| 1831185685 | Tiffani Ondrea Mcgee | Physician Assistant | 560 Jackson St N, Suite 100, St Petersburg, FL 33705-1405 | 2005-09-26 |
| 1790283331 | William Travis Hupp | Physician Assistant | 4600 4th St N, St Petersburg, FL 33703 | 2018-01-29 |
| 1649712274 | Raymundo Gamboa Jacinto | Physician Assistant | 501 6th Ave S, St Petersburg, FL 33701 | 2016-11-14 |
| 1215313671 | Emily Mattei Godfrey | Physician Assistant | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2015-08-07 |
| 1265824817 | Crystal Diana Thomas | Physician Assistant | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2015-02-19 |
| 1477998904 | Alyssa Perry | Physician Assistant | 560 Jackson St N, Suite 100, St Petersburg, FL 33705-1449 | 2013-05-10 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33710 |
Please comment or provide details below to improve the information on MRS. MARTHA M MIXA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.